Sr. Director, Finance Analytics

Your Role

The Medi Cal and Medicare Pricing and Finance team is responsible and accountable to the General Managers of both lines and oversees a team that drives pricing, rate filings, strategic planning, compliance, and performance optimization. The combined lines represent approximately $6B in annual revenue and 985,000 members.

The Sr. Director, Financial Analytics, Medi-Cal and Medicare leads the actuarial and financial analytics team responsible for managing the financial performance of Blue Shield of California’s Medi-Cal and Medicare lines of business.

• Requires a college degree or equivalent experience
• Requires at least 12 years of prior experience in health plan financial or actuarial analytics
• Requires at least 8 years of management experience with direct reports
• Requires at least 7 years of experience working business process improvement, analyzing data, and implementing projects supporting financial operations
• Requires deep understanding of CMS and DHCS regulatory environment, including rules and drivers for Medicare and Medi-Cal revenue rate developments
• Requires working knowledge of Medicaid or Medicare Advantage product financial management either through actuarial rate filings, bids or pricings, or financial planning and analysis for revenue and cost of healthcare
• Requires strong cross-functional collaboration, influence and communication skills